IKS Health

Medical Billing and Coding

• Provide coding and abstracting services for clients on facility same day surgery / observation and interventional radiology CPT records
• Review medical records to identify pertinent diagnoses and procedures
• Ensure appropriate DRG assignment
• Maintain current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting

Facility Interventional Radiology, Same Day Surgery, Observation Medical Coder

Revenue Operations

• Manage all revenue operations accounts, and collaborate with health system clients on a range of complex assignments to provide practical and innovative solutions.
• Assess the current performance of revenue cycle operations by conducting interviews, observations, document review, data-driven insights, and processes.
• Building relationships with clients and seeking opportunities to expand the scope of their business and financial outcomes.
• Proactively identifies opportunities for financial, operational, and delivery performance enhancement.
• Spearheads the successful implementation of our product and service suite with new and existing clients, driving exceptional business and financial outcomes through RCM transformation.
• Partner closely with our technology teams to deploy & implement our suite of products/workflow engines to drive best operational outcomes.
• Analyze business metrics trends, potential issues & escalations, client feedback & business strategy

SVP Revenue Operations, Customer Advocacy Leader

Vice President

• Collaborate with health system clients on complex assignments to provide practical and innovative solutions
• Assess current performance of ambulatory revenue cycle operations
• Build relationships with clients for business expansion
• Spearhead implementation of product and service suite

Vice President, Customer Advocacy – Acute / Ambulatory RCM

Medical writer

• Lead the design and roadmapping of clinical documentation, and AI-driven technologies for healthcare enterprises.
• Develop and manage speech-enabled software to reduce clinician burden.
• Improve operational efficiency and patient experiences through technology-lead products and services.
• Define the vision, roadmap, and features for speech technology.
• Partner with engineering to build intuitive, reliable documentation and handoff experiences.
• Ensure solutions function seamlessly within complex EHR environments.

Vice President, Clinical Documentation Product

• Responsible for designing solutions that meet the needs of our existing and potential clients
• Consultative sales support function
• Match client requirements with appropriate IKS solutions
• Work closely with India-based Director or Manager of Solutions and other IKS teams
• Develop the right solutions that meet client requirements
• Ensure solutions are technically feasible, operationally efficient, financially attractive
• Participate in assessment studies and consulting engagements with prospective clients
• Frequent travel within the US, as well as to India

Vice President of Solutions – Revenue Cycle Management

• Collaborate with health system clients on a range of complex assignments to provide practical and innovative solutions.
• Assess the current performance of their acute revenue cycle operations by conducting interviews, observations, document review, data-driven insights, and processes.
• Build relationships with clients and seek opportunities to expand the scope of their business and financial outcomes.
• Proactively identify opportunities for financial, operational, and delivery performance enhancement.
• Spearhead the successful implementation of our product and service suite with new and existing clients, driving exceptional business and financial outcomes through RCM transformation.
• Partner closely with our technology teams to deploy & implement our suite of products/workflow engines to drive best operational outcomes.
• Analyze business metrics trends, potential issues & escalations, client feedback & business strategy.

Senior Vice President, Ambulatory RCM – Northeast

Operations

• Provide HIM knowledge in a consultative manner to assist sales in the details of a coding and audit sale.
• Perform detailed discovery to identify the needs of the client.
• Create customized proposals that can be realistically implemented and executed by the operations and quality teams.
• Identify sales targets and work with the sales team to close deals.
• Understand tools, success stories, outcomes, and products that will assist our clients and have the ability to communicate with clients at all levels.
• Provide presentations to clients, as needed.
• Perform Coding Operational Assessment, as needed, to provide a lead-in for sales opportunities.
• Create high level and detailed written reports and effectively communicate findings, recommendations, and next steps at all leadership levels.
• Work with discovery information to assess volume/workload for client sites.
• Work with the Operations team to provide seamless coverage and the correct skill set, based on the initial and ongoing needs of the client.
• Provide smooth transition of client relationship and project implementation to operations and quality team via Kick-Off Call.
• Ensure the client feels supported during the transition.
• Ensure initial client engagement with Coding Operations establishes a strong, positive relationship and that implementation exceeds client expectations.
• Build and maintain relationships with assigned clients to foster loyalty, support ongoing service, and drive growth.
• Advocate for client needs, requests, and feedback with the Coding Operations team, and collaborate in a positive, professional manner to support continuous improvement across the organization.
• Travel Fifty percent plus travel time, including regional and/or national trips as needed to support client meetings, site visits, and overall business objectives.

Director Client Development – Coding Operations

Full-stack Engineer

• Oversee end-to-end integration initiatives, including Epic-related interfaces.
• Serve as the Epic Interface Analyst, managing the development, configuration, and support of interfaces using Epic Bridges.
• Design, develop, and maintain APIs and microservices for communication between internal and external systems.
• Manage HL7 and FHIR API integrations in Epic.
• Work closely with external vendors and partners to manage integrations with Epic and other systems.
• Identify and resolve integration and interface issues.
• Maintain thorough documentation for all integration processes.

Software Engineer – EHR, EPIC Integration Lead

• Responsible for providing coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee medical records using ICD-10-CM and CPT-4
• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter
• Abstracts appropriate information from the medical record based on the guidelines provided by the client
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record
• May act as a mentor to training coders and/or new hires
• Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
• Maintains effective and professional communication skills.
• Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.

Medical Coder

• Provide coding and abstracting services for outpatient, physician, or emergency room medical records
• Participate in industry forums and coding education within the team
• Ensure appropriate DRG assignment
• Maintain current knowledge of coding guidelines and responsibilities

Profee Multi Specialty Surgery Medical Coder

Accounts Receivable

• Adhere to Billing Guidelines and Policies
• Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp
• Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level
• Identify the root cause for Rejections and Denials and escalate to appropriate team to take action
• Identify the Responsible Payer Accurately and Bill / Appeal Claims
• Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool
• Communicate with clinic personnel and insurance to resolve the claim in a timely manner
• Perform Ad-hoc Tasks assigned as Special Projects

Healthcare Medical Insurance Account Receivable Representative

• Proactively identifies opportunities for financial, operational, and delivery performance enhancement
• Spearheads the successful implementation of our product and service suite with new and existing clients, driving exceptional business and financial outcomes through RCM transformation
• Partner closely with our technology teams to deploy & implement our suite of products/workflow engines to drive best operational outcomes
• Analyze business metrics trends, potential issues & escalations, client feedback & business strategy

AVP, Customer Advocacy – Revenue Cycle Management

Director

• Serve as the go-to expert for back-end RCM
• Lead and execute high-impact RCM initiatives
• Utilize advanced data analytics to evaluate RCM performance
• Develop compelling presentations for executive leadership
• Collaborate with product and engineering teams

Senior Director – Acute Revenue Cycle

• Drive product excellence and innovation by translating market insights into impactful features
• Develop and align the product roadmap with the company's strategic goals
• Lead the end-to-end feature development process
• Manage annual product revenue targets
• Oversee the budget and investment strategy
• Lead cross-functional teams
• Conduct comprehensive market research

VP Product, RCM Ambulatory

Data Analyst

• Engage with revenue cycle and finance stakeholders to understand existing denial management processes
• Conduct detailed assessments of current denial root causes, resolution workflows, and reporting capabilities
• Map current-state workflows to the target product environment
• Design best-practice denial management processes leveraging product capabilities